National Provider Identifier [NPI]: |
1710964671 |
Last Name Of The Provider |
SCHIMMEL |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7011 A C SKINNER PKWY |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322566954 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
7225 |
Number Of Medicare Beneficiaries |
2701 |
Total Submitted Charge Amount |
859770.21 |
Total Medicare Allowed Amount |
405475.78 |
Total Medicare Payment Amount |
308706.39 |
Total Medicare Standardized Payment Amount |
308158.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
7225 |
Number Of Medicare Beneficiaries With Medical Services |
2701 |
Total Medical Submitted Charge Amount |
859770.21 |
Total Medical Medicare Allowed Amount |
405475.78 |
Total Medical Medicare Payment Amount |
308706.39 |
Total Medical Medicare Standardized Payment Amount |
308158.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
501 |
Number Of Beneficiaries Age 65 to 74 |
888 |
Number Of Beneficiaries Age 75 to 84 |
871 |
Number Of Beneficiaries Age Greater 84 |
441 |
Number Of Female Beneficiaries |
1522 |
Number Of Male Beneficiaries |
1179 |
Number Of Non Hispanic White Beneficiaries |
1934 |
Number Of Black or African American Beneficiaries |
632 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1862 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
839 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.4824 |